Fig. 10.

Subperitoneal spread of disease. A Axial CT image shows a large pancreatic mass (white arrow) extending along the hepatoduodenal ligament to the porta hepatis (arrowheads). Mass also invades the left perinephric space and engulfs the adrenal gland (black arrow). Superiorly, the mass extended into the gastrohepatic ligament with invasion of the left lobe of the liver (not shown). B Coronal CT image shows a hematoma in the root of the small bowel mesentery extending toward the ileocecal junction within the small intestine mesentery (arrows). C Coronal CT image shows a heterogeneous mass (white arrows) around the inferior vena cava and aorta. Mass extends superiorly, through the aortic hiatus, to the posterior mediastinum (black arrowheads). The mass also extended into the root of the small bowel mesentery (not shown) along the superior mesenteric artery.